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Building Department <br /> Date Received Phone Contact for Permitting <br /> 5 fi € G t3 t <br /> Owner's Name f�f'` %, G �L (- -�, Owner Phone Number <br /> Owner's Address / l- � ' l ./� Owner Phone Number <br /> Fee Simple Titleholder Name A Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS rf'��Y f ' • �. �L Gr✓�� G, .. �� Pl�ll�� f��-^ ✓ LOT# <br /> SUBDIVISION ,;, •� 1 :�(/ PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN 0 = DEMOLISH <br /> H INSTALL e REPAIR <br /> PROPOSED USE = SFR = COMMA OTHER fj <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME u STEEL = <br /> DESCRIPTION OF WORK ( ��'L�/ ����/ �r�� 4• -' 7 ;f(✓ ly(�J <br /> BUILDING SIZE #0'x D./ SQ FOOTAGE_F �3W HEIGHTi'l D <br /> =BUILDING $ ///� j�,D�i VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ f; /y� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS r. / FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY d <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE.CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE A <br /> ppL'. REGISTERED Y/N FEE CURREN ��Y/N <br /> Address V�i /I / �� License# <br /> i31a991.0-a9a0:1.fl-aaa@aV i aaaggfi11g i agiii911€9211QOit9lf9t€ llagatttHSiE.19RE919864 <br /> RESIDENTIAL Attach(2)Plot.Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —*PROPERTY SURVEY required for all NEW construction. <br /> Directions:' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required.(A/C upgrades over$7500) <br /> * Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />